Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.24 / $4,796.00 / $9,539.00	Facility		$1,875.24	$4,796.00	$9,539.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $937.62 / $937.62 / $2,251.32	Facility	52	$937.62	$937.62	$2,251.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $1,873.50	Facility		$490.00	$610.00	$1,873.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.97 / $1,864.02 / $2,712.59	Professional		$1,508.97	$1,864.02	$2,712.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,667.41 / $2,122.17 / $3,169.16	Facility		$1,667.41	$2,122.17	$3,169.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $397.20 / $410.39 / $661.97	Facility	80	$397.20	$410.39	$661.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $262.50 / $287.27 / $463.38	Facility	AS	$262.50	$287.27	$463.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,620.21 / $2,007.88 / $3,629.24	Facility		$1,620.21	$2,007.88	$3,629.24
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00